Nitrofurantoin Antibiotics up date - Pernicious Anaemi...

Pernicious Anaemia Society

31,972 members23,121 posts

Nitrofurantoin Antibiotics up date

3rdNettydoon profile image
17 Replies

I have been really frightened this last week. I thought I might be seriously ill. So many of my symptoms have returned in such a short time. A swift full on comeback of anxiety and exhaustion where I don't even want to wash myself. Even got oral thrush. Can't believe this.I've seen a doctor who did listen and try to understand how I would believe this was due to the effect Nitrofurantoin had on my B12d. I am sure it has to be these tablets cos of the timing and the throw back to so many symptoms I felt were improving directly before I took them.

The doctor was a bit shocked at how severe I believe B12d is and she did really want to help me. Said that they do know about B12d and PA but this is new to her. I actually told her I was SI eod as this was what is recommended in NICE and NHS web page. She asked how much it was costing me for doing this myself. I replied that I think I'm worth it.

She has taken a blood test and assured me that if my B12 is high, my injections will not be stopped. I am hoping that she is shocked enough to look into it.

This doctor is a registrar nearing the end of her training and I did upset/frighten her when I asked if she'd be interested in listening to Tracey Wittey, maybe invite other doctors to tune in too. I believe I made a mistake with this and that she was afraid this could make trouble for her with the practice partners. I feel bad about this as she is very good and we need doctors who care. When I got home she phoned me. She was sorry that she had not picked me up on a few things I'd mentioned in the surgery. I was still shaken up and couldn't answer her questions. I was sad though when she offered me antidepressants.

I am to see her on 31st July when we will 'discuss' my blood results! This is a first for me.

Written by
3rdNettydoon profile image
3rdNettydoon
To view profiles and participate in discussions please or .
Read more about...
17 Replies
jade_s profile image
jade_s

I'm sorry you're having a tough time and that the situation with the GP is difficult. Xx

It seems (long term) antibiotic use in general can lower B vitamins mountsinai.org/health-libra.... And many of us have found that being ill with a bacteria or virus on its own seems to deplete b12 and/or folate. I usually increase injections for a few days when i'm fighting something and feel 'low b12'. Doctors don't really seem to understand this.

Have you tried taking probiotics or kefir or similar to help combat the thrush?

deniseinmilden profile image
deniseinmilden

Nitrofurantion made me feel so bad they've put it on my allergy list! I SI every day so I did get over it OK but it cause a pretty extreme reaction at the time.

Trimethoprim absolutely strips folate out of your system too and I only found out after it left me with crippling symptoms which took 9 months of very high dose - up to 20mg/day - methylfolate to get well again. It cost me hundreds of £ I couldn't afford because I'm self employed and obviously struggled to work when I was so ill.

You definitely need to be wary of antibiotics and read all the information on them before taking them.

You should report your reaction using the Yellow Card reporting scheme for medicine side-effects.

I hope you feel better soon.

Nackapan profile image
Nackapan in reply to deniseinmilden

Good point about yellow card .I did that for amytripyline after a 3 week trial on it as desperate with migraines at the time.

MrsTuft profile image
MrsTuft in reply to deniseinmilden

I concur with this. Nitrofurantoin and Trimethoprim both made me so ill. They are on my allergy list too. Also self employed. Nightmare!

Nackapan profile image
Nackapan in reply to deniseinmilden

Sounds awful what you went through. I haven't heard of alot of these antibiotics .

I eas once put on augmentin and metropronazole at the same time. for an access before b12 def diagnosed ( I now know yet another symptom of a b12 def )

That is recorded

Never again

Never have felt so ill and so mentally low.

Nackapan profile image
Nackapan

I've had a 'relapse' in symptoms whist on antibiotics after a tricky tooth extraction.

2 rounds of a genetic antibiotic but not penicillin.

I got oral thrush for the first time in my life .

Salt mouth washes helped as did 'live ' yoghurt u have anyway but upped.

Not enough to clear it .

Was very painful.

Nystatin liquid helped but it came back and need a second prescription

When it returned. In the early stages o took a fluconazole one off tablet I'd bought.

That worked.

All over 5 weeks of feeling rough and symptomatic.

That G does sound caring and making her think about things .

Ive never tolerated antibiotics well and not needed too many courses . but was suprised how ill I got needing b12 Injections now.

As you say scary.

Hope recovery soon.

Just need time

deniseinmilden profile image
deniseinmilden in reply to Nackapan

I'm allergic to most thrush antifungal but can have Nystatin thankfully as I usually need it if I have enough antibiotics to be effective.

MrsTuft profile image
MrsTuft

It was a course of nitrofurantoin following a surgical infection that caused my mega crash that I’m still recovering from. There are alternative antibiotics like Cefalexin that don’t decimate B12.

Agapanthus1 profile image
Agapanthus1

Long story short but something similar happened to me after several courses of antibiotics for UTIs. I was initially prescribed Nitrofurantoin & seemed to deteriorate really badly, did some reading & found out about the b12 link so refused anymore of those but then had to have Trimethoprim because I am allergic to penicillin. I knew about the folate link but seemed to tolerate them slightly better & my folate levels were ok.

However, I’ve had a real deterioration in my overall health & found out my once off the scale active b12 levels were in the normal range, despite SI twice a week! So I am now SI every day & starting to feel some benefits 4 mths in but nowhere near well yet.

I’ve given up expecting conventional medics to know about any of this so do my own research & self treat where I can. I, too, was getting fungal infections but am working on my diet & taking probiotics, kefir etc to restore my gut health.

Do you self inject? I would recommend increasing your b12 asap. I hope you feel much better soon. It’s scary deteriorating so badly, I know, but at least you have a good idea what it is. X

3rdNettydoon profile image
3rdNettydoon in reply to Agapanthus1

I do SI eod. Might try every day and probiotic with kefir.Thanks for this. While I'm sorry for what you're going through I am also pleased to hear that this awful slump can and does happen.

Thank you.

Agapanthus1 profile image
Agapanthus1 in reply to 3rdNettydoon

I only started SI ED 3mths ago as I had only ever done it EOD but would recommend a trial. I am just trying twice a day now. Was a bit nervous but had a lovely sleep after it yesterday, so all good so far.

The gut stuff is pretty straightforward-lots of rainbow colour plants, cultured foods, low refined sugar & low ultra processed foods. The Zoe Tim Spector stuff is good for recipes.

Wishing you better soon.

3rdNettydoon profile image
3rdNettydoon in reply to Agapanthus1

Thank you. I hope the ED trial picks you up out of this debilitating condition. X

Agapanthus1 profile image
Agapanthus1 in reply to 3rdNettydoon

You too x

Cherylclaire profile image
CherylclaireForum Support

Firstly, so glad you told the new doctor that you are worth the cost of EOD injections - priceless !

I am not familiar with that particular antibiotic. Just to reassure you, many antibiotics are on lists of medications known to interact with vitamin B12 and other lists regarding depletion of B12. It is worth checking.

I found that both Metronidazole (twice for gum infections) and Doxycycline (for SIBO trial) gave me constant headache and vertigo. Could not lift my head off the sofa. Memory and cognitive issues. deniseinmilden warned me off Trimethoprim (made a note of that) !

Lastly, I think that you have made a lasting impression on this new GP. That's a good thing. Yes, okay, disappointingly, she later offered you antidepressants (probably on the advice of other GPs there) . I was offered antidepressants thre times by my GP, who ended up being a lifesaver - diagnosing functional B12 deficiency by MMA testing, giving me 6 months of 2-a-week injections (despite concerned/suspicious nurses) and referring me for years in order to get me the help I needed. So worth persisting with any GP who actually looks and listens.

So don't be sad. Help her learn about you. I am wishing you all the best and know you can get through this.

Sneedle profile image
Sneedle

Hello 3rdNettydoon,

Speaking about antibiotics nly, I figured out with call to GP and nutritionist last week, that antibiotics Clindamycin and Metronidazole (which I finished about 3 weeks ago) have totally messed me up.

For the last 3 weeks I've had daily fatigue crashes, vertigo, chills and hot flushes (but not like menopause), swaying like on deck of ship, hard bloated gassy abdomen. I was on them for ten days and five days respectively for a nasty finger infection. I've also got thrush which has got worse since the antibiotics - not surprisingly. Horrid horrid symtpoms have been feeling so rough - you have my total sympathy. While I'm not SI (yet, still investigating) I do have low B12, folate etc and I reckon the antibiotics have knocked it all for six.

The nutritionist reckons the infection may not have completely cleared, apparently traces can remain?

So I'm currently taking two Nutri Candex SIBO capsules a day. - mix of herbal and caprylic acid. I've been told it could all get more unpleasant before symptoms clear (die-off, don't know if that's a real thing but it makes sense to me) and I do feel a bit worse on day 3 today, but got to keep going. The link is here for anyone interested nutriadvanced.co.uk/candex-...

Probably cheaper elsewhere. I've got my fingers crossed it works, too early to tell yet. I want those critters gone and the fungusy yeast obliterated!

I hope you take heart from the replies here and start to feel better soon. X

3rdNettydoon profile image
3rdNettydoon in reply to Sneedle

Thank you. I've had another dizzy day so lay in bed for a couple of hours. Feeling slightly better tonight so fingers crossed.Get well soon. X

Sneedle profile image
Sneedle in reply to 3rdNettydoon

🌸🌸💪

You may also like...

Important Up to Date Information on Vitamin D

This answers most questions and shows again how important it is to have really good levels of...

Is there Any Up To Date Research To Support More Frequent B12 Injections?

B12 needed before 3 months is up...help!

appointment to see my GP as I am desperate. How can I convince her to give me B12 shots now...

Neuropathic symptoms have moved from left to right

getting neuro symptoms in my right hand. marre advised going back to the doctor and my doctor...

A certain antibiotic possibly contraindicated for those with b12d--nerve damage risk

My doctor prescribed nitrofurantoin for a bladder infection. One serious side effect listed is...